1. Using EHR to improve Quality and Patient Care: Lessons Learned from FQHCs Chiricahua Community Health Centers Inc. Edith Sampson, Risk Manager/Compliance Officer Reachel Friend, IT Data Analyst 1

2. Located in Cochise County 204 Staff 27 Providers NextGen 2 6 Clinics 2 Mobile Units Medical &Dental

3. Quality Measures: 3 Uniform Data System (UDS) Meaningful Use (MU) Patient Centered Medical Home (PCMH) Centers for Medicare & Medicaid Services (CMS) Special Projects

4. 4 Challenges: Analysis Design Development Implementation Evaluation System Upgrades

5. Solutions: 5 Backing from Medical Director and the CCHCI Leadership Team

6. CCHCI Liaison Team Health Center Manager Team Director of Nursing Director of Pediatric Medicine Director of Adult Medicine Lead Nurses Care Coordination Lead Patient Service Manager Medical Records/Referr al Manager Solutions, continued: Pediatric Medicine Providers Adult Medicine Providers Super Users

7. Training: 7 One on One Provider Training Online Provider Training Off Site Provider Training New Employee Training Medical Support Staff Training

8. Communication: 8 Provider Meetings Individual Provider Data Data for CMO/CEO Feedback

9. Patient Care Improvement: 9 Monitor Patient Populations Identify Gaps in Care Provide patient reminders/recalls Evidence-Based Care Focused Resource Management

10. Support: 10 Consultants IT Staff Developer IT Analyst Provider Liaison